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Percutaneous closure of left ventricular‐to‐right atrial fistula after prosthetic mitral valve rereplacement using the Amplatzer duct occluder
Author(s) -
Cabalka Allison K.,
Hagler Donald J.,
Mookadam Farouk,
Chandrasekaran Krishnaswamy,
Wright R. Scott
Publication year - 2005
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20310
Subject(s) - medicine , cardiology , percutaneous , fistula , mitral valve replacement , catheter , mitral valve , shunt (medical) , surgery
A 70‐year‐old female with a history of rheumatic heart disease underwent rereplacement of mitral valve mechanical prosthesis in May 2003. Seven months later, she presented with progressive exertional dyspnea, exercise intolerance, and a new holosystolic/diastolic murmur. Echocardiography confirmed a large shunt through a fistula in the inferior limbus of the atrial septum with left ventricular‐to‐right atrial communication. We report the novel use of the Amplatzer duct occluder for closure of the fistulous tract. Catheter Cardiovasc Interv 2005;64:522–527. © 2005 Wiley‐Liss, Inc.